Introduction: Mitochondria-derived peptides are newly discovered small bioactive peptides thought to communicate metabolic status to other cells. Two such peptides, MOTS-c and Humanin, have been shown to have particularly strong local and systemic regulatory effects on metabolism and oxidative stress in tissues, but their effect specifically on vascular endothelial cells remains unclear. Furthermore, it has been proposed that skeletal muscle is a source of MOTS-c and humanin during exercise but this has not been directly shown. Methods: In seven healthy young males, muscle interstitial fluid was collected from microdialysis probes in the thigh muscle, blood was drawn from femoral arterial and venous catheters and thigh muscle biopsies were obtained before and after one acute bout of exercise. In addition, muscle biopsies were obtained before and after 14 days of leg exercise training. Samples were analysed for MOTS-c, Humanin protein and mRNA. To test the effect of MOTS-c on the microvasculature, human endothelial cells derived from the muscle biopsies were incubated for three days with MOTS-c and analysed for mitochondrial respiration and formation of reactive oxygen species (ROS). Furthermore, mice were injected with MOTS-c for 4-weeks to investigate the in-vivo effect of vessels and microvascular endothelial cells. Data was analyzed by linear mixed models performed with R. Results: Acute exercise resulted in an 88% and 55% ( p<0.001) increase in MOTS-c and humanin concentration, respectively, in muscle dialysate, with no effect on the femoral arterial-venous plasma concentration differences. Both MOTS-c and humanin mRNA levels increased (by 20 and 26%; p<0.05) after acute exercise and were 43% and 35% ( p<0.05) higher, respectively, after 14 days of training. A period of MOTS-c treatment of endothelial cells increased mitochondrial respiration and ROS formation by 3-fold and 5-fold, respectively ( p<0.01). Muscle derived endothelial cells from mice injected for 4-weeks presented a similar mitochondrial respiration but a 4-fold ( p<0.05) higher ROS emission. Conclusion: interstitium in response to exercise, muscle is not a likely source of these peptides in plasma. Our data from in vitro and in vivo experiments suggest that treatment with MOTS-c does not influence endothelial metabolism but leads to increased oxidative stress in microvascular endothelial cells. The funding by Novo Nordisk Foundation (application number: 0070369) is gratefully acknowledged. This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.